Provider Demographics
NPI:1669853321
Name:VENTURE MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:VENTURE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNDON
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-855-9729
Mailing Address - Street 1:40485 MURRIETA HOT SPRINGS RD
Mailing Address - Street 2:ST B4 - 325
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6436
Mailing Address - Country:US
Mailing Address - Phone:760-855-9729
Mailing Address - Fax:
Practice Address - Street 1:40485 MURRIETA HOT SPRINGS RD
Practice Address - Street 2:ST B4 - 325
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-6436
Practice Address - Country:US
Practice Address - Phone:760-855-9729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)